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Editorial
Rev Bras Hematol Hemoter. 2012;34(5):321-2
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The distribution of the total number of hours in medical
residency was also discussed; most programs today split residency
in 80% for hematology and 20% for transfusion medicine.
The directors of the ABHH has been discussing the possibility
of proposing to the
Comissão Nacional de Residência Médica
(CNRM) an increase in the length of residency in hematology/
transfusion medicine from two to three years, with two years
for hematology (66%) and one for transfusion medicine (33%).
However, further discussions on the subject will be needed.
Moreover, several of the participants in the meeting highlighted
that there seems to be much effort spent on training physicians to
treat patients with hematologic malignancies and a relative lack
of training in the care of prevalent conditions such as anemia and
changes in hemostasis.
Finally, a notable heterogeneity was observed in the current
status quo of medical residency programs in hematology and
transfusion medicine in the country, with some programs plain
Table 1 - Positions in residency in the fields of hematology and transfusion
therapy offered and filled in some accredited programs in the country
Institution
Positions
offered Filled
Universidade de São Paulo – São Paulo
12
12
Universidade de São Paulo - Ribeirão Preto
6
6
Universidade Estadual de Campinas
4
4
Instituto Nacional de Cancer
4
4
Irmandade da Santa Casa de São Paulo
3
3
Universidade Federal do Paraná
2
2
Universidade Federal de Minas Gerais
4
4
Universidade Federal do Ceará
2
2
Universidade Federal do Rio de Janeiro
3
1
Universidade Federal do Rio Grande do Sul
3
1
Universidade Federal da Bahia
2
1
HEMORIO
10
1
HEMOPE
2
0
HEMOAM
4
2
Total
61
43
sailing and others facing severe difficulties in attracting and
training future physicians.
Proposed measures
Given the above, the need of a clear picture of the current
status of medical residency in hematology and transfusion
medicine in Brazil is evident. According to Prof. Maria do
Patrocínio, this need exists in almost all areas of specialist
training.
As a first step, it was decided that the ABHH would make
“on the spot” evaluations of hematology and transfusion medicine
residency programs accredited by the CNRM. Evaluation teams
would be made up of representatives appointed by the directors of
the ABHH and the CNRM. From this overview it will be possible
to more clearly assess the curriculum implemented by programs
and the real structural conditions and existing human resources
involved in the training of future hematologists.
The expectation is to develop a minimum curriculum
that covers all the essential aspects needed to train young
hematologists and blood transfusion specialists so that they are
able to meet the demands and challenges of modern medicine,
whether in the public or private sectors. In order to put this
curriculum into practice, the exchange of residents complementary
training between institutions with accredited programs would be
implemented when appropriate.
In relation to increasing the filling of the available positions,
many participants stressed the need to develop stimulation
strategies among fellows of internal medicine residency programs,
to better divulge hematology and transfusion medicine, with all
the possibilities these specialties can offer. Thus, it was proposed
that the ABHH should create a workgroup to develop measures
and appropriate teaching materials to promote motivational
events in medicine schools.
These actions, although they will not quickly resolve the
difficult problems identified by the forum, are the first step for
coping with these problems and for involving all hematology
residency programs in the country in the quest for its improvement.